What kind of heart failure (which side) does this patient’s assessment reveal

What kind of heart failure (which side) does this patient’s assessment reveal

Create a Powerpoint/Presentation – Exam  3

Assessment of the Cardiovascular System –

 

A 67-year-old Hispanic-American woman is admitted to the hospital for dyspnea and progressive fatigue. The patient’s history reveals that she is 45 pounds overweight from her previously recorded weight 1 year ago. She has had type 1 diabetes mellitus for 23 years that is controlled with daily insulin. A 24-hour account by the patient of her diet reveals an intake of high-sodium and high-cholesterol foods. Her exercise routine includes walking a half-mile for 20 minutes 1 to 2 times a week. She states she smokes one pack of cigarettes per day and has done so for 40 years. She reports no alcohol consumption. At night she sleeps with three pillows and gets up urgently to void at least once each night.

The patient is slightly dyspneic while speaking one to two sentences and then must stop to rest for 2 minutes before she can resume answering questions. On assessment, she has anasarca and ascites. Jugular vein distention is 4 mm above the sternal angle with the head of the bed elevated at 45 degrees. A right ventricular heave is observed at the sternal border with the patient in a semi-Fowler’s position. Her skin is pale and cool to the touch. Her apical pulse is not palpable. Radial pulses and pedal pulses are 1+ bilaterally on palpation. Auscultation of the heart reveals S1, S2, and S3 sounds. She denies any chest pain.

 

Vital signs are:

pulse oximeter reading 90%, but after administering 2 liters of oxygen per nasal cannula the pulse oximeter reading elevates to 93%; temperature, 97.3° F (36.3° C); heart rate, 88 beats/min, the cardiac monitor shows sinus arrhythmia with occasional premature ventricular contractions (PVCs); respirations, 28 breaths/min.

 

Create a PowerPoint depicting the physical examination you will give to this patient addressing the following questions

1.    Document a nursing note for the case study above using the following format:

•    History

•    Inspection

•    Palpation

•    Auscultation

•    Additional Notes

 

2.    What kind of heart failure (which side) does this reveal?

3. What does the auscultation of an S3 sound indicate?

4.  The patient reports that she sleeps on three pillows at night. What does this indicate?

Uses five References.

Answer preview to what kind of heart failure (which side) does this patient’s assessment reveal

What kind of heart failure (which side) does this patient’s assessment reveal
9 slides

Get instant access to the full solution from  by clicking the purchase button below

 








We offer the bestcustom writing paper services. We have done this question before, we can also do it for you.

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.